| NPI | 1770897266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 20A12854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A12854) |
| 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: CA 20A12854) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-04-11 |